Peds GI, Phumirick 12,3 Flashcards
signs of severe dehydration in infant
no skin turgor skin is clammy mucosa cracked eyes and fontanelle suncken lethargic increase pulse anuric
What is isonatremic/isotonic dehydration
proportional loss Na and Water
Na is 130-150
What is maintenance fluids
daily water needs base on energy expenditure
kcal/day=1ml water needed
how to determine fluid deficit of 10% in 12 kg child
10% 12 kg is 1.2 x 1000mL/kg
Na and K intra or extracell?
Na extracellular
K intracellular
patient has notmal healthy kidneys but super dehydrated.. should you worry aboue lower volume electrolyte loads
no most patients with normal kidney function can acommodate
What weight do you use to calculate fluid deficit
pre-illness weight if possible
what type of NS do you use in replenishing fluids in a child
38.5 mEq Na/L
ddx vomiting in neonate
- intestinal atresia: duodenal, ileal, jejunal
- intestinal duplication
- intestinal malrotation with midgut volvulus
- ileus
- annular pancreas
- peritonitis
- viscous perforation
first orders with neonate that is vomiting
NG tube with suction, NPO, begin IVF
Sx mild dehydration in infant
moist mucosa, flat fontanelle, consolable
all other stats norml (pulse, cap refill, urinary output, turgor)
infant weighs under 10 kg
what are the 24 hr maintenance req
hourly?
24 hr: 100 ml/kg/day
hourly: 4ml/kg/hr
infant weights 11-20 kg
what are the 24 hr maintenance req? hourly?
24 hr: 50 ml/kg/day
hourly: 2ml/kg/hr
double bubble sign on XR of infant
duodenal atresia
most common cause viral gastroenteritis
rotavirus calicivirus astrovirus enteric adenovirus foodborne- noro
